WPC  DlNu>\f˿Nu'Rmɕl.!}kB}MIbVRD-ɟ%I+V{>Fɭc5guzdFsPB$7r|.1)PI+"+۸_I+ ɣ}㙌ە'.FRH[Q ˛*dr>>2r#T3Ëk^ F)%@9bU YH*W|\˰1nR ?07[D!5I|ؒ|\|E.fG%4,V/ ;zr勉MS8OdhK*." 9  "D9_~݌L(#(# Ќ  " 3"   32Uh  5  .3  0    Interrogatories 3݌^(#(# Ќ  " 3"   32Uh  6  .3  0    GarnisheeAffidavit 3݌ p(#(# Ќ  " 3"   32Uh  7  .3  0    InstructionsfortheGarnishee 3݌2(#(# Ќ  #XJXFA#   `     h      p      x  -,)) Ї XJXXXJJXXXJ@UNITEDSTATESDISTRICTCOURTFORTHEDISTRICTOFUTAH  @_________________DIVISION   ______________________________________________________________________________  t @** ` Plaintiff,@**  APPLICATIONFOR  L     `  @**  GARNISHMENT  <  @** , | vs.@**    h @**  CaseNo.   T  Defendant,@**  D  @** 0  @**   @**    ______________________________________________________________________________      ThePlaintiffherebyappliesforawritofgarnishmentonthefollowinggrounds: | 1.0  Thatjudgmenthasbeenenteredintheabovecitedactionrequiringthepaymentof . money.Theamountthatremainsdueonthejudgmentis$______________.@(#(# 2.0  Thatthepropertytobegarnishedconsistsof: p   _________________________________________________________________________ T ________________________________________________________________________ f _________________________________________________________________________(#(#   (Ifknown,listthenature,location,accountnumberandestimatedvalueoftheproperty) *z   heldby:   0  ________________________________________________________________________ >" ________________________________________________________________________ P!$ ________________________________________________________________________"&(#(#   (Listname,addressandphonenumberofthepersonholdingtheproperty) $d(  (5h88 ! !" 3"   3225h  3  .3  0    Thatthebusinessorpersontobechargedasgarnisheeis: 32_݌v% *(#(# Ќ  0  ______________________________________________________________&(",(#(# 3.0  That:(checkoneofthefollowing):(#.(#(#   []a.Saidpropertyconsistsinwholeofearningsfrompersonalservices. )$0 _  []b.Saidpropertyconsistsinpartofearningsfrompersonalservices. *N&2   []c.Saidpropertydoesnotconsistofearningsfrompersonalservices. `,'4 __ -)6 " 3"   3w25h  4  .3  0    Thatthefollowingpersonsareknowntoclaimaninterestinproperty: x   ________________________________________________________________________ b ________________________________________________________________________ t ________________________________________________________________________ & ________________________________________________________________________ 8  ____________________________________________________________ 3w݌  (#(# Ќ  " 3"   3X25h  5  .3  0    ThatthegarnisheefeeestablishedbyUtahCodeSection78744isattached. 3X݌^ (#(# Ќ  ̀DATEDthis_____dayof____________________,20_____.   @ _________________________________________ H @::Plaintiff/AttorneyforPlaintiff 4 #Q6XJZ #JXQ6   \   #Q6XJ# (eh88! !#XJXQ6y #UNITEDSTATESDISTRICTCOURT  DISTRICTOFUTAH  ______________________________________________________________________________ t    `     h     : `  Plaintiff,  `     h     : L     `     h     : <     `     h     :0 p WRITOFCONTINUING( xp(#p(#  (5h08! ! vs.    `     h     :0 p GARNISHMENT(Wage) dp(#p(#    `     h     :  T     `     h     :  @   Defendant  `     h     :0 p CivilNo.____________, p(#p(#    `     h     :   ______________________________________________________________________________    THEUNITEDSTATESOFAMERICATOGARNISHEE:   YouareherebyorderedbytheCourttoholdaportionofDefendant(s)  pension,wagesorother  h  income(nottoexceedtheoutstandingamountowedonthejudgmentororderandcourt X approvedcostsinthismatter,being$__________)dueatthenextpaydayandcontinuingateach D paydaythereafterforaperiodof120daysfromthedatethisWritwasserveduponyouorinthe 0 caseofmultiplegarnishments,fromthedatethisgarnishmentbecomeseffective,ascalculated l pursuanttotheattachedquestions,whicharecalledInterrogatoriesortheattachedAffidavitof X GarnisheeastoContinuingGarnishment.Todeterminetheincomeavailableforgarnishmentat D thenext(first)payday,youarerequiredtoanswertheattachedInterrogatoriesandfileyour 0 answerwiththeClerkofCourtwithinfive(5)businessdaysofthedatethisWritisservedupon  youor,inthecaseofmultiplegarnishments,withinfive(5)businessdaysafterthisWrit  becomeseffective.ForeachsubsequentpaydaythereafteruntiltheterminationofthisWrit,you  arerequiredtocompletetheattachedAffidavitastoContinuingGarnishment(copytheattached  AffidavitFormforcompletioneachpayday)andfilesuchaffidavitwiththeClerkofCourtwithin | five(5)businessdaysaftersuchpayday.TheaddressoftheClerkis Clerk,USDistrictCourt, h  350SouthMainStreet,Room150,SaltLakeCity,Utah84101. Youarealsorequiredtosend X! acopyofyourinitialInterrogatoryanswersandsubsequentAffidavitstothePlaintiffatthe H"  followingaddress: 4#!   ________________________________________________________  $p"   ________________________________________________________.  %\ # MULTIPLEWRITSOFCONTINUINGGARNISHMENTmaybeserveduponyouforthesame &4"% Defendant.OnlyoneWritofGarnishment(continuingorotherwise)maybeineffectand ' #& satisfiedatonetime.WhenmorethanoneWritofGarnishmentisserveduponyouagainst ( $' earningsduetothesamedefendant,theWritsshallbesatisfiedintheorderofserviceonyou.If )$( thisWritofContinuingGarnishmentisserveduponyouwhileapreviousWritisstillineffect, *%) youshallrespondtothisWritwithastatementthatyouhavebeenservedpreviouslywithoneor +&* moreWritsofGarnishmentagainstearningsandyoushallspecifythedateonwhichallWrits l,'+ previouslyservedareexpectedtoterminate. X-(, IfyoufailtoanswertheInterrogatoriesortofilesubsequentAffidavitsassetforthabove,the  judgmentcreditormayasktheCourttomakeyoupaytheamountyoushouldhavewithheld.  IfyouoweorwillowemoneytotheDefendant(s)whicharesubjecttothisWrit,youshall t immediatelymailbyfirstclassmailacopyoftheWritandyourinitialInterrogatoryanswers,the ` NoticeofGarnishmentandExceptionsandtwo(2)copiesoftheRequestforhearingtothe L  Defendant(s)atthelastknownaddressoftheDefendant(s)shownonyourrecordsatthetimeof 8  theserviceofthisWrit.Inlieuofmailing,youmayhanddeliveracopyofthesedocumentsto $ t theDefendant(s).Inthecaseofmultiplegarnishments,thismailingordeliverytoDefendant(s)  ` shalloccurimmediatelyafterthisWritbecomeseffective.Youshallprovidenoticetothe  L  Defendant(s) ofamountsattachedinsubsequentpayperiods.  8  YOUMAYDELIVERtotheofficerservingthisWrittheportionofDefendant(s)earningsor   incometobeheldatthenextpaydayasshownbyyouranswers.Youmay,inthealternative,   holdthemoney.Ifyoudonotreceiveacopyofarequestforhearingwithin20daysofserviceof   youranswertotheInterrogatoriesonthedefendantoranyotherpersonclaiminganinterestinthe   property,youshallpaythemoneytotheplaintifforplaintiffsattorney.Ifyoureceiveacopyof t arequestforhearingwithinthe20days,youmustholdthemoneyandanymoneyheldfora ` subsequentpaydayuntilfurtherorderofthecourt.Ifnorequestforhearingisfiledorifthecourt L hasissuedanorderfollowingarequestforhearing,theportionofDefendant(s)earningsor 8 incomeheldateachsubsequentpaydayasshownby theapplicableAffidavitmaybesentto $t PlaintiffortoPlaintiffsattorney. d YOUSHALLPAYtoDefendants(s)theportionofDefendant(s)earningsorincomewhichare < notheldbythisWritofGarnishmentatthetimethesameisnormallypaidtoDefendant(s). ( ISSUEDthis______dayof___________,20_____  D.MARKJONES `  ClerkofCourt L! By:_____________________ $#t! ЀDeputyClerk     h  $`"  H-(, _ XJXXXJJXXXJ_@ UNITEDSTATESDISTRICTCOURTFORTHEDISTRICTOFUTAH   @  NOTICEOFGARNISHMENTANDEXEMPTIONS   @  YOURMONEYMAYBETAKENTOPAYACREDITOR. ` @ PLEASEREADTHISNOTICECAREFULLY  L    TheattachedWritofGarnishmentandAnswerstoGarnisheeInterrogatorieshavebeen $ t issuedonrequestofacreditor(theplaintiff)whosuedyouandwonandgotajudgmentagainst  ` you(oraprejudgmentWritofGarnishmenthasbeenissuedagainstyou).Thismeansthatmoney  L  heldforyoubythegarnishee(suchasyourbankoremployer)maybetakenbythePlaintiffto  8  payajudgmentagainstyou.Ifyouarenotsuedbutownanaccountwithsomeonewhowas $  sued,readthisNoticetoo.     Thelawprovidesthatcertainmoniescannotbetakentopayjudgments.Suchmoneyis   saidtobeexempt.Thefollowingisapartiallistoffundsthatareexempt:   L*SocialSecurityBenefits   h   *AlimonyorChildSupport \ *SupplementalSecurityIncome(SSI)  *Veterans'Benefits  *CertainPensions    h 0  *Workers'Compensationbenefits(#(# *UnemploymentBenefits B *PublicAssistance(Welfare) $t *Partofyourwages(allofyourwagesiftheWritofGarnishmentisissuedpriortoany V judgmentbeingrenderedagainstyou)  *Propertyormoneyofapersonwhodidnothaveajudgmententeredagainstthem.   L  Theremaybeadditionalexemptions.Thereisnoexemptionsolelybecauseyouare ( havingdifficultypayingyourdebts.Theaboveexemptionsmaynotapplytojudgmentsfor  alimonyandchildsupport.     Thelawalsorecognizesthatifthemoneyorpropertythataretobetakenbelongtoyou, " butthejudgmentisnotagainstyou,yourmoneyshouldnotbetaken. t#   Ifyouareacoownerofpropertythatistaken,youshouldrequestahearingtoprotect L% ! yourshare. 8&!"  IFTHEMONEYINANACCOUNTDOESNOTBELONGTOYOU,ORIFYOUARE (`#$ AWAREOFOTHERREASONSWHYTHISMONEYSHOULDNOTBETAKEN,YOU (L$% MAYWANTTOCONSULTANATTORNEY. )8%&    Becauseofthegarnishment,yourplaceofemploymentoryourfinancialinstitutionor +'( otherpersonwasrequiredtoholdtheamountofmoneyclaimedbytheplaintiff.Thismeansthat ,') youmaynotnowwithdraworgetthismoney. -(* Ї  IfyoubelievethattheWritofGarnishmentwasissuedimproperly,thatthe  AnswerstoInterrogatoriesareinaccurate,orthatyouareentitledtoanexemption,DO  THEFOLLOWINGIMMEDIATELY.Youhaveadeadlineoften(10)daysfromthedate  theplaintiffmailedordeliveredthisnoticetoyou.  t 1.0  Iffundsinyouraccountweregarnished,ontheattached RequestforHearingcheckthe L  appropriatebox(es)inparagraphone.8 (#(# 2.0  Ifyourwagesweregarnished,ontheattached RequestforHearingcheckthe  ` appropriateboxesinparagraphtwo. L (#(# 3.0  SignyournameinthespaceindicatedandprovidetheaddresswheretheCourtClerkisto $  notifyyouofthehearing. (#(#    AKNOWINGLYMADEFALSESTATEMENTONTHEFORMMAYSUBJECT   YOUTOCRIMINALPENALTIES. p  4.0  MailortaketheRequestforHearingtotheCourtClerkwithinten(10)daysfromthe H datethisnoticewasmailedordeliveredtoyou.MailacopyoftheRequestforHearing 4 tothegarnishee.Keepthesecondcopyofthe"RequestforHearing"foryourrecords.  p TheClerkofCourtwillsetthematterforhearingandnotifyyou.Youhavearighttoa  \ hearingwithinten(10)daysfromthedatetheClerkofCourtreceivesyourclaim.Atthe H hearinginCourt,youwillhavetoprovethatyourmoneyisexempt.Youshouldbring 4 anydocumentswhichmayhelptoproveyourmoneyisexempt. (#(#   Youmaywishtoconsultanattorneyforadviceorassistanceconcerningthehearing.If  youdonotcometoCourtonthedesignatedtimeandprovethatthegarnishmentwasissued  improperly,thattheanswerstotheinterrogatoriesareinaccurate,orthatyourmoneyisexempt,  youmaylosesomeofyourrights. l   Ifyoudonotrequestahearingwithinthetimespecifiedabove,butyoubelievethatthe D! garnishmentwasissuedimproperly,thattheanswerstointerrogatoriesareinaccurateorthatyou 0"  areentitledtoanexemption,youshouldconsultanattorney.Theattorneymaybeabletoassist #l! youbyfilingpaperswiththeCourt. $X"  @-(, _ #Q6XJL9##XJXQ6k9#Q6XXJJXQ6_@ UNITEDSTATESDISTRICTCOURTFORTHEDISTRICTOFUTAH   @ ________________DIVISION    ______________________________________________________________________________      `     h   * t Plaintiff, `     h   *   p REQUESTFOR x  `    `     h   *   p HEARING    x   P     `     h   * <    vs. `     h   * ( x    `     h   *   p CIVILNO._____________   d Defendant, `     h   *  T     `     h   *  @   ______________________________________________________________________________  ,  I.0  Respondtotheseitemsiffundsinyouraccountweregarnished: (#(#  0  A.0` (#(#[]IbelievethattheWritofGarnishmentwasissuedimproperly.(Explain)|` (#` (#    ` ________________________________________________________________ h    ` ________________________________________________________________ T 0  B.0` (#(#[]IbelievethattheAnswerstoInterrogatoriesareinaccurate.(Explain) ,| __________________________________________________________________ h ______________________________________________________________T` (#` (# 0  C.0` (#(#[]Thefundsinmyaccountareexemptfromgarnishmentbecause,` (#` (#    ` theyare:(Checkapplicableboxes):  L   ` []SocialSecurityBenefits     p []Pensions     ` []SupplementalSecurityIncome(SSI) p []Alimony/childsupport#Q6XJP#JXQ6#XJXXJP#JXXXJ "    ` []Veterans'Benefits h      p []PublicAssistance(welfare)#Q6XJ[#JXQ6#XJXXJ[[#JXXXJ  T    ` []UnemploymentBenefits     p []Ownedbyanotherperson#Q6XJ0\#JXQ6#XJXXJr\#JXXXJ 6!    ` []Workers'CompensationBenefits   p []#Q6XJ9]#JXQ6#XJXXJ{]#JXXXJԀPartlyownedbyme#XJXXJi^#JXXXJ#Q6XJ'^#JXQ6 h" 0  0` (#(#[]Wages/incomefrompersonalservices# ` (#` (#    ` []Other(describe)_________________________________________ $ !   D. ` Checkonebox: 0'"#   0 ` [] Allfundsinmyaccountareexempt.b(#$` (#` (# 0  0` (#(#[]0 ` (#` (#Ibelievethat$________oftheamountinmyaccountis)$% (# (#    `  exempt.(Fillinthedollaramountyoubelieveisexempt.) *&&   *-z((   E.0 ` Checkifapplicable0h` (#` (#h(#h(#    ` []0 IclaimownershipofallorpartofthemoneyorpropertytakenandIam d notoneofthepersonsagainstwhomajudgmenthasbeenentered.F (# (#   F.0 ` Checkifapplicable ` (#` (# 0  0` (#(#[]0 ` (#` (#Ihaveattachedcopiesofthedocumentsthatshowthatmymoneyis  ^ exempt.@  (# (# II.0  Respondtotheseitemsifallorpartofyourwagesweregarnished. (#(#    A. ` []0 Ibelievethatthewritofgarnishmentwasissuedimproperly.(Explain) ^  ___________________________________________________ @  ___________________________________________________r (# (#    `  ___________________________________________________     `  ___________________________________________________ &   B.0 ` []0 ` (#` (#IbelievethattheAnswerstoInterrogatoriesareinaccurate.(Explain) : ___________________________________________________l (# (#    `  ___________________________________________________     `  ___________________________________________________      `  ___________________________________________________ R   C. ` []0 Ibelievethatallorpartofmywagesareexemptfromgarnishment. f! (Explain)___________________________________________" (# (#    `  ___________________________________________________ #    `  ___________________________________________________ $L     `  ___________________________________________________ .&~! L  (#   THESTATEMENTSMADEINTHISREQUESTARETRUETOTHEBESTOF  MYKNOWLEDGEANDBELIEF,ANDIHEREBYREQUESTTHATTHISMATTER  BESETFORAHEARING.IHAVESENTACOPYOFTHISREQUESTFOR  HEARINGTOTHEGARNISHEE.  t   DATEDTHIS________DAYOF____________,20_____. 8  L  (Please 0  Name:  ____________________________ `(#(#   typeor 0  Address:  ____________________________B  (#(#   print) `     h 0  ____________________________t (#(#    `     h   ____________________________      `    Telephone:  ____________________________ x  (     `    Signature:  ____________________________ < #Q6XJ_##XJXQ6^#XJXXXJJXXXJ  n    UNITEDSTATESDISTRICTCOURT  FORTHEDISTRICTOFUTAH 2 3p   INTERROGATORIESTOGARNISHEE  x  #Q6XJo#JXQ6 (EarningsforPersonalServices)    p_______________________________pp-(#______________________________ @    GarnisheeName   h      p     CaseTitle r  pp-(#______________________________ &     `     h      p     CaseNumber  X  #Q6XJq#JXQ6#XJXXJo#JXXXJ(Giveyouranswersinthespacesprovidedandattachadditionalsheetsifnecessary.) l #Q6XJs#JXQ61.0  IstheDefendantemployedbyyouordoesDefendantrenderservicesforyou?  (#(#   ANSWERYes___  No___ 4     `     h     2.  (a)WhatisDefendant'spayperiod?    ANSWER0 Weekly__Biweekly__Semimonthly___Monthly___Other___. ~ (# (# 0  (b)WhatisDefendantshourlyorperiodicrateofpayorothermannerofcompensation?0@#(#(#"(#(# 0  _ANSWER:_______________________________________________________________$F (#(# 0  _(c_)WhatisthedateoftheDefendant'snextpayday?Z'"(#(#   ANSWER______________________________________________________________ )% 3.0  DoyouowetheDefendantcompensationforpersonalservices(work)?T-("(#(# Ї  ANSWERYes___No___   Ѐ4.0  Ifyouranswerisyes,figureout,asexplainedbelow,theamountofdefendantspaythat F mustbeheld.Assumeyouarecalculatingthisonthelastdayofthepayperiod. x (#(#   ANSWER0 (a)0 (# (#Grossearningsorincomeforthepayperiodduringwhichthiswrit  , wasserved     ^(#(#    `     h      p $________________ @    0   `  (b)0(#(#LessdeductionsfortaxesandotheritemsREQUIREDBYLAWto &  bedeductedfromaboveamount: X (#(# 0  0` (#(#   FederalIncomeTaxes0p` (#` (#0p(#p(#$_________l(#(#    `    FICA h      p 0  $_________(#(#    `    StateIncomeTaxes   p 0  $_________ (#(#    `    Otheramountsrequiredbylaw R    `    tobededucted(Identify)0 p   4p(#p(#    `    ___________________0 p 0p(#p(#$_________f(#(#    `     h ̀  0 ` 0 ` (#` (#_(c_)0 (# (#Totalofthesedeductions0p(#(#  $_________p(#p(# 0   `  (d)0(#(#Disposableearningsorincome. ~(#(#    `    (Item(a)minusItem_(c_))0 p 0p(#p(#$_________`!(#(#      `  (e)0  Exemptamount(tobepaidtotheemployee)#(#(#    `    Greaterof1,2or3below $F  0  0` (#(#   (1)0h` (#` (#75%ofDefendant'stotaldisposableearningsorincome Z'" (Itemd):(#h(#h(# Ѐ `     h $__________ )%   0 `    (2)0h` (#` (#$175.50timesthenumberofweeksinthepayperiod:*@& h(#h(#    `     h $__________ ",r'! 0  0` (#(#   (3)0h` (#` (#Defendant'sdisposableincomeascalculatedinitem(d) T-(" minustheamountowedonthejudgmentasshownonthe  WritofGarnishment:2h(#h(#    `     h $__________ d    `  (f)0  AMOUNTATTACHEDBYTHISGARNISHMENTx (#(#    `  0  (Item(d)aboveminustheexemptamountasdeterminedinItem   (e)above)     ,(#(#    `     h $__________  ^ 5.0  Doyouknowofanyotheremployment,incomeorincomeproducingactivitiesofthe r  Defendant?Ifso,pleaseexplain. (#(# 0  ANSWER:______________________________________________________________ X  ________________________________________________________________________ :  ________________________________________________________________________ l ________________________________________________________________________(#(# 6.0  Otherthanassetforthabove,areyouindebtedtoDefendant?4(#(# 0  ANSWER:______________________________________________________________  ________________________________________________________________________  ________________________________________________________________________L(#(# 7.0  DoyouknowofanydebtsowingfromanyotherpersontoDefendant?`!(#(#   0  ANSWER:______________________________________________________________ # _______________________________________________________________________$F (#(#   0  DESCRIPTION:_________________________ Z'" VALUE:__________________________(#(#(#   *@&  8.0  Haveyouretainedordeductedfromthepropertyormoneyinwhichyouareindebtedto  Defendant(s)anyamountinpayment,infullorinpart,ofadebtowedbyDefendant(s)or 2 Plaintiff(s)toyou? d(#(# 0  ANSWER:______________________________________________________________ x  _______________________________________________________________________ (#(# 9.0  If so,statetheamountsoretainedordeductedandthepersonindebtedforwhomthe @  amounthasbeenretainedordeducted.r (#(# 0  ANSWER:______________________________________________________________ &  _______________________________________________________________________X (#(#  UNITEDSTATESOFAMERICA ss.  0   ` Idoswear,oraffirm,thatIamthegarnishee,orpersonauthorizedto X executethisinstrumentandmakethisverificationonbehalfofgarnishee,andthat : theanswerstotheforegoinginterrogatoriesaretruetothebestofmyinformation l andbelief.(#(# 0   ` IalsoswearoraffirmthatImailedbyfirstclassmailorhanddelivereda R copyoftheWritofGarnishment,AnswerstoInterrogatories,Noticeof 4  GarnishmentandExemptions,andtwo(2)copiesoftheRequestforHearing,tothe f! Defendantat: "(#(#   Streetaddress:___________________________________________ $L    City:____________________State:____________Zip:_________ .&~!   datemailed:____________________ `'"   orhanddeliveredto_________________,at____________________on__________ )%     `    (Person)0  0p(#(#(Place)0 p(#p(#0x (# (#(Date)*F& x(#x(#   Ialsoswearoraffirmthatthefollowingotherpersonswerealsoprovidedacopyofthe Z-(" WritofGarnishment.AnswerstotheInterrogatories,NoticeofGarnishmentandExemptions,  andRequestforHearing.  2  0  _______________________________________________________________________  d(#(#   Person    h   DateMailed p or  DateHandDelivered F     Address(ifmailed):_______________________________________________________     _______________________________________________________________________  ,   _______________________________________________________________________  ^      ` __________________________________________ r  Ѐ0 SignatureofGarnisheeorAuthorized  (# (# Ѐ0 SignatureonBehalfofGarnishee&  (# (# SUBSCRIBEDANDSWORNtobeforemethis_____dayof_________,20_____ l (SEAL)   @z z _________________________________ 4 @$NOTARYPUBLIC f @O O Residingat:__________________________________  MyCommissionExpireson__________________________ . ~ #Q6XJyt#JXQ6  T-(" Ї #XJXXJs#  UNITEDSTATESDISTRICTCOURT  FORTHEDISTRICTOFUTAH 2 ___________________DIVISION  F Y   AFFIDAVITOFTHEGARNISHEEASTO   CONTINUINGGARNISHMENT(Wages)   , #XJXXXJ#XJXXXJ (Notforearningsforpersonalservices) 0 @ 0@(#(#0@p(#(#  ^  JXXXJ_______________________________pp-(#______________________________     GarnisheeName   h      p     CaseTitle ,  pp-(#______________________________ @     `     h      p     CaseNumber  r #XJXXJk##XJXXXJ#XJXXXJ  Theundersigned,beingdulysworn,herebystatesthefollowing: &  (5h00" 3"     325h  1  .3  0 `   Theundersignedisthegarnisheeorpersonauthorizedtoexecutethisdocument : andmakethisverificationonbehalfofthegarnishee. 3݌l` (#` (# Ќ    " 3"     3%25h  2  .3  0 `   Thegarnisheeisindebtedtothedefendantforpersonalservices(work)rendered   duringtheperiodof______________to______________(the PayPeriod). 3%^݌R` (#` (# Ќ    " 3"     325h  3  .3  0 `   ThegarnisheewasservedwithaWritofContinuingGarnishmentintheabove f! referencedmatteron_____________________ԀandsaidWritwasineffectasofthelastday " ofthePayPeriod. 3݌#` (#` (# Ќ  " 3"     325h  4  .3  0 `   Thegarnisheepreviouslymailedbyfirstclassmailorhanddeliveredacopyfthe .&~! AnswerstoInterrogatories,NoticeofGarnishmentandExemptionsandtwo(2) `'" copiesoftheRequestforHearingtotheDefendant. 3$݌(#` (#` (# Ќ    " 3"     3ȩ25h  5  .3  0 `   Thefollowingcomputationdetailstheamountofthedefendantspaythathas *F&  beenheldforthePayPeriod: 3ȩ݌(,x'!` (#` (# Ќ  ""    0 ` 0 ` (#` (#25h  1  .3  0 (# (#  GrossEarningsorincomeforthePayPeriod0x(#(#$__________W݌Z-("x(#x(# Ќ  ""    e0 ` 0 ` (#` (#25h  2  .3  0 (# (#  Lessdeductionsfortaxesandotheritemse݌(#(# Ќ     `    REQUIREDBYLAWtobedeductedfromthe 2    `    aboveamount; d    `     h Federalincometax0 p 0p(#p(#0 (#(#0x (# (#$__________Fx(#x(#    `     h FICA0  0(#(#0p(#(#0p(#p(#0 (#(#0x (# (#$__________x x(#x(#    `     h StateIncometax0 p 0p(#p(#0 (#(#0x (# (#$__________ x(#x(#    `     h Anyotheramountsrequiredbylaw  ,    `     h tobededucted0 p 0p(#p(#0 (#(#0x (# (#$__________ ^x(#x(#    `     h (Identify)_________________________ @  ""    E0 ` 0 ` (#` (#25h  3  .3  0 (# (#  Totalofthesedeductions0p(#(#0p(#p(#0 (#(#0x (# (#$__________E~݌r x(#x(# Ќ  ""    0 ` 0 ` (#` (#25h  4  .3  0 (# (#  Disposableearningsorincome(Item(a)minus݌ (#(# Ќ     `    Item_(c_))0  0(#(#0p(#(#0p(#p(#0 (#(#0x (# (#$__________& x(#x(#    `  (e)0  Exemptamount(tobepaidtoemployee):X (#(#    `    greaterof1,2or3below. :  ""    0 ` 0 ` (#` (#0 (# (#0h(#(#25h  1  .3  0h(#h(#  75%ofDefendantstotaldisposable݌l(#(# Ќ     `     h   earningsorincome(Itemd)0  0x (# (#$__________x(#x(#    `     h      p or   ""    0 ` 0 ` (#` (#0 (# (#0h(#(#25h  2  .3  0h(#h(#  $175.50timesthenumberofweeksV݌R(#(# Ќ     `     h   inthePayPeriod0  0 (#(#0x (# (#$__________4x(#x(#    `     h      p or f ""    0 ` 0 ` (#` (#0 (# (#0h(#(#25h  3  .3  0h(#h(#  Defendantsdisposableearningsorʻ݌(#(# Ќ     `     h   income(Itemd)minustheamount     `     h   owedonthejudgmentasshownonthe L    `     h   WritofGarnishment:0  0 (#(#0x (# (#$__________. ~x(#x(#  ( 80! !" 3"     `   362 (  f  )3  0    AMOUNTATTACHEDBYTHISGARNISHMENT 36݌"(#(# Ќ     `    (Item(d)aboveminusexemptamountasdetermined #    `    inItem(e)above)0  0p(#(#0p(#p(#0 (#(#0x (# (#$__________$F x(#x(#  (Uh88! !" 3"     3(2Uh  6  .3  0 `   Thegarnishee()has()hasnotretainedordeductedfromtheamountattached Z'" aboveanyamountinpayment,infullorinpart,ofadebtowedbythedefendant (# orplaintifftogarnishee.Ifanamounthasbeenretained,theamountis$_______. 3(a݌)%` (#` (# Ќ  " 3"     32Uh  7  .3  0 `   Thegarnisheewillprovidenoticetothedefendantoftheamountattachedbythis ",r'! garnishment. 3S݌T-("` (#` (# Ќ  " 3"     3b2Uh  8  .3  0 `   ThegarnisheeprovidedacopyofthisAffidavittothefollowingotherpersons: 3b݌2` (#` (# Ќ     ` __________________________________________________________________ F Ѐ   ` Person    h Address   p      x Datemailedor x     `     h      p      x handdelivered   " 3"     3H2Uh  9  .3  0 `   TheamountattachedforthePayPeriodbythisgarnishmenthasbeenmailedby  ^ firstclassmailorhanddeliveredto(markone): 3H݌@ ` (#` (# Ќ       ` ___Plaintiff0  0h(#(#___PlaintiffsAttorney0h(#h(#0 (#(#___theCourt  (# (#   ______________________________________ X    SignatureofGarnisheeorAuthorizedSignatureon :    BehalfofGarnishee l   SUBSCRIBEDANDSWORNtobeforemethis________dayof__________,20_____ R   ___________________________0  0(#(#0p(#(#0p(#p(#Mycommissionexpiresf(#(#   NotaryPublic0 0 (# (#0h(#(#0h(#h(#0(#(#0p(#(#0p(#p(#___________________(#(#        `    `     h     #XJXXXJ#XJXXXJJXXXJ  #    `  #Q6XJ##XJXQ6#Q6XXJJXQ6@ UNITEDSTATESDISTRICTCOURTFORTHEDISTRICTOFUTAH  @C C OFFICEOFTHECLERKOFCOURT 2 @INSTRUCTIONSFORCOMPLETINGGARNISHMENTFORMS    1.0  ProvideallrequiredinformationontheWritofGarnishment,includingtheaddressofthe @  plaintiffortheplaintiff'sattorneytowhichtheanswerstotheInterrogatorieswillbe r  mailed. (#(# 2.0  Indicatethecasenameandnumberwhererequiredonallforms.X (#(# 3.  IndicatethenameofthegarnisheeontheInterrogatories. l 4.0  BringthecheckforthegarnisheetothecourtforattachmenttotheWritofGarnishment   atthetimethatitisissued.R(#(# 5.0  CompletetheApplicationforGarnishment.Becertaintoincludeonittheamount f remainingonthejudgment.(#(#  @* @uu Thankyouforyourcooperation  " #Q6XJ##XJXQ6#